Individual provider · NPI-1

Bobbi Jo Haag, RN

Registered Nurse, Gerontology · Saint Cloud, MN

NPI number1275009946
StatusActive
Last updated in NPPESOct 19, 2018

Details

NPI
1275009946
Entity type
Individual (NPI-1)
Name
Bobbi Jo Haag
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2018
Last updated
Oct 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0600X Registered Nurse, Gerontology2462058MNYes

Practice location

4801 Veterans Dr
Saint Cloud, MN 56303-2015

Phone 320-252-1670

Mailing address

29540 Minnesota Highway 4
Grove City, MN 56243-4403

Phone 320-434-0209

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